Kayla Fenwick

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Knob Noster, MO

NPI 1316831720 · NPPES record last updated Jun 9, 2025

Key facts

NPI
1316831720
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
189 SE 1181
Knob Noster, MO 65336-2159
Phone
(417) 300-1269
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

189 SE 1181
Knob Noster, MO 65336-2159

Mailing address

116 W South St
Warrensburg, MO 64093-2324
Phone (417) 300-1269

Other providers in Knob Noster, MO

All providers in Knob Noster, MO · Student in an Organized Health Care Education/Training Program in Missouri

Sources for this page

Verify at the official NPI Registry.